Individual
MISS MIKAELA K BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S ORANGE AVE STE 230, LIVINGSTON, NJ 07039-5817
(973) 322-7005
Mailing address
200 S ORANGE AVE STE 230, LIVINGSTON, NJ 07039-5817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00723200
NJ
Other
Enumeration date
08/29/2022
Last updated
02/23/2023
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